Janice Ian Ramos, RPT
Individual provider Active NPI Physical Therapist · Danforth, IL
NPI 1912178740 · NPPES record last updated Oct 21, 2008
Key facts
- NPI
- 1912178740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070015519 (IL)
- Practice address
- 110 N Front St
Danforth, IL 60930 - Phone
- (773) 841-8440
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006032145 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015519 | IL | Yes |
| Physical Therapist | 225100000X | 2006032145 | MO |
Addresses
Primary practice location
110 N Front St
Danforth, IL 60930
Mailing address
214 W 5TH St
Suite D&E
Joplin, MO 64801-2501
Phone (417) 782-2917
Other providers in Danforth, IL
All providers in Danforth, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.